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From: stan jeffries
Sent: Sunday, December 14, 2008 1:35 PM
To: Dawn Roberson
Subject: RE: Sunset Review of the Texas Medical Board Performance Study
Dear Dawn Roberson,
The email message below was sent to the Texas Sunset Commission.
RE: Sunset Study of the Texas Medical Board
From: stan jeffries
Sent: Sun 12/14/08 7:32 PM
Dear Julie Fullingim and Sunset Commission,
I am writing concerning the Texas Medical Board (TMB)'s November 2008 Sunset PerformanceStudy.
The study admits, in the last paragraph of page 1 of this study, that, "Within the agency's enforcement division,
increasing numbers of complaints, quality of care cases, .. could contribute to higher enforcement costs." What
is alarming, is the end of the page 1 first paragraph, in which the Sunset Commission has "no
Here's one: Rather than throwing more money at an agency which is clearly failing in its Mandate to "protect
Texans," from bad doctors and bad hospital systems, the Sunset Commission should SHUT the TMB DOWN.
The study admits on page 2 that the TMB's functions include, "investigating and resolving complaints and taking
disciplinary action when necessary ... and monitoring compliance with disciplinary orders." However, the TMB
could more accurately be described as a racketeering colluder with criminal doctors and hospital systems which
OUTRIGHT DENY PATIENT HEALTHCARE. Nowhere could this outright denial be more blatant that in the case
of courageous patient and whistleblower Aleithia Artemis.
After patient Aleithia Artemis had suffered and made numerous due diligence attempts to report an entire series·
of OUTRIGHT DENIALS OF HEALTHCARE at the Search Project's Houston Healthcare for the Homeless (HHH)
clinic, she eventually went to the Harris County Hospital District's Northwest Healthcare Center for a duly
scheduled appointment with TMB licensee Susan Backes.
Yet. Susan Elizabeth Backes "failed to practice medicine in an acceptable professional manner consistent with
public health and welfare." She OUTRIGHT DENIED patient whistleblower Artemis ANY office exam or
healthcare of ANY SORT whatsoever. She showed her premeditation to get away with doing this by moving
patient Artemis to a different exam room from the one originally assigned. Backes even grinned, gloated, and
used foul language concerning her OUTRIGHT DENIAL of ANY healthcare for Ms. Artemis whatsoever. And
Backes fabricated documentation such that she GOT PAID ANYWAY. The Harris County Hospital district and
the Northwest Healthcare Center likewise participated in Backes' scam.
The study admits on page 3 that it has thrown $8.4 million to enable "the agency to focus more resources on
enforcement of its statute and rules." Yet it abysmally failed to perform such enforcement in Ms. Artemis' case.
The State of Texas is squandering money by throwing it at an agency which has failed to do its required
Page 7 of the study makes the false allegation, "The boards enforce state laws and Board rules by investigating
complaints against licensees, taking disciplinary action if necessary, and monitoring licensee's compliance with
Board orders." In actual fact, the TMB boards LIED ON BEHALF OF the bad doctors and hospital systems in
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. Ms. Artemis' case. They further outright refused to be responsive to Ms. Artemis's due diligence follow-up
contacts with the TMB: The very patient whom these bad doctors and hospital system(s) OUTRIGHT DENIED
Page 9 of the study has a flowchart. Yet at no point in this flowchart is there any loop back to the Complainant to
verify allegations which turn up in the processing of a Complaint. So guilty doctors, administrators, etc., just lie
with impunity, as they got away with doing in Artemis' case.
Appendix A of the study has a bunch of useless data. It fails to mention the only material data: What a
Complainant had to say, concerning the disposition of their Complaint!
Appendix B fails to "protect Texans" from bad doctors, as it fails to name the guilty licensees!
Nowhere has the negligence of the TMB been more flagrant than in the case of courageous whistleblower patient
Aleithia Artemis. Artemis exposed the corruption of the entire Harris County Hospital District when her doctor,
Susan Elizabeth Backes, outright denied her medical care.
The brave Artemis duly went up the chain of command, documenting the details of Backes' conduct before the
Northwest Health Center, where the denial of healthcare occurred, to the hospital and medical directors. When
they failed to respond, she documented the events to the entire Harris County Hospital District board. They too,
failed to respond. The entire chain of command failed to step forward and discipline that doctor, or even make a
reasonable contact with the patient who had launched the formal complaint.
Ms. Artemis then duly brought the series of events to the attention of the Texas Medical Board. Yet the TMB has
acted reprehensibly, in demanding that whistleblower Artemis be forced to endure a violation of her Patient Rights
to Confidentiality, as a condition of the TMB fulfilling its duty to bring legal proceedings against the guilty parties
The TMB needs to do its job, and protect the public from this kind of atrocity, or be shut down, before it continues
to harm other Texans with impunity.
According to the TMB, "If sufficient information and evidence are obtained through the investigation to suggest
that there has been a violation of the Texas Occupations Code, the case is scheduled for an informal settlement
Yet at no time was Complainant "invited to (any) conference."
Susan Elizabeth Backes "failed to practice medicine in an acceptable professional manner consistent with public
health and welfare." She OUTRIGHT DENIED patient whistleblower Artemis ANY office exam or healthcare of
ANY SORT whatsoever. She showed her premeditation to get away with doing this by moving patient Artemis to
a different exam room from the one originally assigned. She even grinned, gloated, and used foul language
concerning her OUTRIGHT DENIAL of ANY healthcare to Ms. Artemis whatsoever. And she fabricated
documentation so that she GOT PAID ANYWAY. The Harris County Hospital district and the Northwest
Healthcare Center likewise participated in Backes' scam.
The relevant portion(s) of the violations of the Texas Occupations Code are:
SUBCHAPTER B. LICENSE DENIAL AND DISCIPLINARY ACTIONS
Sec. 164.051. GROUNDS FOR DENIAL OR DISCIPLINARY ACTION.
(a) The board may refuse to admit a person to its examination or refuse to issue a license to practice medicine
and may take disciplinary action against a person if the person:
(6) fails to practice medicine in an acceptable professional manner consistent with public health and
Sec. 164.053. UNPROFESSIONAL OR DISHONORABLE CONDUCT. -
Backes' gloating, grinning, and the use of foul language concerning the fact of her commission of OUTRIGHT
DENIAL OF HEALTHCARE certainly fall within both categories above.
Recommendation: SHUT THE TMB DOWN.
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Yours truly, .
Stan & Melinda Jeffries
Subject: Sunset Review of the Texas Medical Board Performance StUdy
Date: Thu, 4 Dec 2008 12:29:08 -
An agenda for the December 15 and 16 meeting of the Sunset Advisory Commission is now available on our